| NPI | 1265797492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R088638) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024095985) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |