| NPI | 1134209604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F000233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 360313-1) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-08-06 |