| NPI | 1649220187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ P00398500) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F001198) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-05-21 |