| NPI | 1053430488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001128) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 3588) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-03-16 |