| NPI | 1053542423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024168395) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0024168395) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2010-09-23 |