| NPI | 1174521256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R224419) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F001074-1) |
| 363L00000X Nurse Practitioner (Licence: MD R224419) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2022-12-12 |