| NPI | 1811417710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341621) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-04-13 |