| NPI | 1093089799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R214164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 012110) |
| 163W00000X Registered Nurse (Licence: PA RN613196) | |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2015-04-16 |