| NPI | 1154857811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R206741) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R206741) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |