| NPI | 1609010537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001637-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420510-1) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2014-09-22 |