| NPI | 1811574700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 002073) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 2073) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-07-17 |