| NPI | 1790752731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001122) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420707) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-08-09 |