| NPI | 1861861841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ID 56605) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 001708) |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2017-11-09 |