| NPI | 1184713596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3001245) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3001245) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-08-31 |