| NPI | 1083859482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-05699) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 001005699) |
| 367A00000X Advanced Practice Midwife (Licence: CT 2183) | |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2019-05-13 |