| NPI | 1558327148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420354) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000013-1) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2012-02-24 |