| NPI | 1790775005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 00420826) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F000678-1) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2025-09-10 |