| NPI | 1720045693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 516811-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F000961-1) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |