| NPI | 1811964281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343016) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 6153461) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 6153461) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 6153461) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360384) | |
| 367A00000X Advanced Practice Midwife (Licence: NY F000501) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2021-03-16 |