| NPI | 1669618419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 355) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F001324) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2011-11-06 |