| NPI | 1043206279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 200850062NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209-001428) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-12-01 |