| NPI | 1679592711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360100-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F00089) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |