| NPI | 1053372722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NJ 25ME00035701) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00035701) |
| 176B00000X Midwife (Licence: NY F000925-1) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-02-28 |