| NPI | 1104970151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MI 4704092855) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MI 4704092855) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |