| NPI | 1871613877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420768-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F001150-1) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2021-03-08 |