| NPI | 1104900257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 149980) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 149980) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-01-17 |