| NPI | 1912916792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: CT 000518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 483641-1) |
| 363L00000X Nurse Practitioner (Licence: NY 420822) | |
| 367A00000X Advanced Practice Midwife (Licence: NY 28-001237) | |
| 367A00000X Advanced Practice Midwife (Licence: NY F001237) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-08-08 |