| NPI | 1639400450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F001342-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010154) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2016-09-20 |