| NPI | 1972043453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421287) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024174596) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-10-22 |