| NPI | 1609320795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 002373) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704301323) |
| 367A00000X Advanced Practice Midwife (Licence: IN 09000277A) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704301323) | |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2025-10-20 |