| NPI | 1053437319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 185876) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704257742) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-07-30 |