| NPI | 1114099892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CO 170025) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 508765) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-06-14 |