| NPI | 1003937939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000735) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-02-25 |