| NPI | 1821234931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000477) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 002047-1) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2011-11-23 |