| NPI | 1558869685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001893) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 635827) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-10-29 |