| NPI | 1144217134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000617) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 000617-1) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360470-1) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-11-19 |