| NPI | 1548774631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421322) |
| Additional Taxonomies | 176B00000X Midwife (Licence: F001811-1) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-07-20 |