| NPI | 1578299053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 310668) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 000116) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |