| NPI | 1588904320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001506) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY FOO1506-1) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2021-09-15 |