| NPI | 1194899476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F000976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 307356-1) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420219-1) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-07-19 |