| NPI | 1275965121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 001552) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 001552) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2019-01-10 |