| NPI | 1679903553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001566) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 8375840) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2023-03-07 |