| NPI | 1629014410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000071) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F000071-1) |
| 163W00000X Registered Nurse (Licence: NY 406781-1) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-05-05 |