| NPI | 1285628834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024166240) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024166240) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-09-24 |