| NPI | 1922524412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 351444) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-07-08 |