| NPI | 1104352491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 001783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 724030) |
| 163W00000X Registered Nurse (Licence: TN 207996) | |
| 163W00000X Registered Nurse (Licence: GA 258343) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |