| NPI | 1003523978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 002218) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25ME00081000) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-08-07 |