| NPI | 1174580419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001056-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F0010561) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2015-10-07 |