| NPI | 1992130348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F001603) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY P90263) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-07-21 |