| NPI | 1235193517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 000852) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 376426) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2016-03-30 |