| NPI | 1205163979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F001403) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH COA 10844NM) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2014-09-29 |