| NPI | 1114193281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.006633) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA RN152368) | 
| Enumeration Date | 2008-05-07 | 
| Last Update Date | 2013-01-15 |