| NPI | 1164969655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 002346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341208) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2024-11-06 |