| NPI | 1194822718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MA 152380) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 152380) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-08-13 |