| NPI | 1164543617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704159305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704159305) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-05-19 |