| NPI | 1972712586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F000159) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 5717942) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-03-13 |