| NPI | 1083696322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000713) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F0007131) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2017-02-10 |