| NPI | 1548365893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000333) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NM 657) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-02-05 |