| NPI | 1912497017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421296-1) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 002211) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-04-06 |