| NPI | 1497090476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F000025) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F360293) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |