| NPI | 1013152784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: VA 0024168019) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP9319862) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2013-09-26 |