| NPI | 1063661973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001504-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP1943082) |
| 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00085801) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2024-04-23 |