| NPI | 1487767729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360267-1) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000247-1) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-10-09 |