| NPI | 1154605459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ME CNM152003) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MA RN2268308) |
| 367A00000X Advanced Practice Midwife (Licence: MA RN2268308) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-02-22 |