| NPI | 1174966923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 001538) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360537) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2015-11-18 |