| NPI | 1083641575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME CNP231213) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VT 101-0022934) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-07-26 |