| NPI | 1104815570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 1691172) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 1691172) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2014-08-14 |