| NPI | 1578612420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY f360463) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY fooo420) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |