| NPI | 1124219191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK 612) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 086C03015N5) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2012-03-09 |