| NPI | 1376196758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 002086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 709311) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421642) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2025-07-26 |