| NPI | 1669534988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 238849) |
| 367A00000X Advanced Practice Midwife (Licence: NY 000955) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-09-07 |