| NPI | 1265429021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MA 210781) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA B110009) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2012-02-01 |