| NPI | 1043609605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F001666-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704264559) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-23 |