| NPI | 1003869173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 9439728) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9439728) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-12-02 |