| NPI | 1083367296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 002138) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 732444) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-03-09 |