| NPI | 1902047467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 01544) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 017741) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2024-02-14 |