| NPI | 1801815709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NY F360105-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010128) |
| 367A00000X Advanced Practice Midwife (Licence: NY 203483-1) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-02-23 |