| NPI | 1487293452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 104444900) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 421429) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2023-07-03 |