| NPI | 1710201371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NY F360494) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001059) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2011-08-15 |