| NPI | 1124210190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IA B105824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA B-105824) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-03-08 |