| NPI | 1891138988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 337900) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001539) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-10-28 |