| NPI | 1649850579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 002078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 801244) |
| 363L00000X Nurse Practitioner (Licence: NY 347478) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-02-21 |