| NPI | 1750188496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 002381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 856946) |
| 176B00000X Midwife (Licence: NY CNM10007) | |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |