| NPI | 1164950143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341649) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001847) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-08-15 |