| NPI | 1952375271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420472) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 000248) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-11-14 |