| NPI | 1588740880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420555) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000783) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2017-12-15 |