| NPI | 1578002564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 001123) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420861) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |