| NPI | 1174612733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R198508) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 000990) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-10-13 |