| NPI | 1164057030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001999) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA CNM06195) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-05-04 |