| NPI | 1780164020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001866-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421406) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-05-03 |