| NPI | 1619012242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 001245) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00041900) |
| 163W00000X Registered Nurse (Licence: NY 521535) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360473) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-05-30 |