| NPI | 1487205837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 002030) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 2030) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2025-06-08 |