| NPI | 1902141112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F001950-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 720038-1) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2019-09-23 |