| NPI | 1902303274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 593360) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 104382733) |
| 176B00000X Midwife (Licence: NY 001660) | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |