| NPI | 1962906677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R267909) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 002132) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 2132) | |
| 367A00000X Advanced Practice Midwife (Licence: MA RN2321774) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-09-11 |