| NPI | 1700941382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F360326-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F000792-1) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-06-29 |