| NPI | 1083048680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348206) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001561) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2022-01-28 |