| NPI | 1164735320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001877) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305424-1) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2019-11-19 |