| NPI | 1932508132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F001614-1) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360531-1) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |