| NPI | 1164724316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY P78239) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VT 107.0051633) |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2010-11-21 |