| NPI | 1164429304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN291821L) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW008593L) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2011-01-18 |