| NPI | 1962979419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F001906-1) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 1906) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-07-17 |