| NPI | 1104613405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 002407) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 810122) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2026-03-31 |