| NPI | 1508018524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001988) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA 284965) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2025-09-22 |