| NPI | 1942274451 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 000307)  | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001083)  | 
| Enumeration Date | 2006-02-14 | 
| Last Update Date | 2010-10-18 |