| NPI | 1285605949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000158) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CT 000124) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2012-05-01 |