| NPI | 1023197613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL APRN9305336) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA 185229) |
| 367A00000X Advanced Practice Midwife (Licence: MS R878113) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-10-21 |