| NPI | 1578622650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 330393) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-10-31 |