| NPI | 1104168921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN575828) |
| 163W00000X Registered Nurse (Licence: NY 828877) | |
| 367A00000X Advanced Practice Midwife (Licence: PA MW010303) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2025-07-18 |