| NPI | 1487781076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F000574) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 408574) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NY F360250) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-12-15 |