NPI | 1124784640 |
---|---|
Former Name | MARISA LAUREN KREITMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 176B00000X Midwife (Licence: NY 002319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 948851) |
367A00000X Advanced Practice Midwife (Licence: FL 11015782) | |
Enumeration Date | 2021-11-09 |
Last Update Date | 2024-08-12 |