| NPI | 1609327584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 0001905) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA RN2311628) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2020-01-12 |