| NPI | 1730245044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F000608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 300227-1) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420625-1) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2021-04-27 |