| NPI | 1205141215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL ARNP1817222) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL 1817222) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ME1817222) | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2016-08-30 |