| NPI | 1952270589 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 002443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY N14548) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421938) | |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |