| NPI | 1912141540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001499) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NJ 25MW00000900) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2013-01-14 |