| NPI | 1518070085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL APRN11000263) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY f001031) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-09-04 |