| NPI | 1821193806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 338088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 338088) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F338088-1) | |
| 367A00000X Advanced Practice Midwife (Licence: NY 001218) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-01-26 |