| NPI | 1104051523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IA B167632) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MO 2017024370) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2003016527) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2022-05-13 |