| NPI | 1104044916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420847) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F001263) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-04-29 |