| NPI | 1578981478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY FOOO388-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 382269-1) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |