| NPI | 1801802749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F-0001355-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA CNM161912) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-03-18 |