| NPI | 1285741249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: SC 4156) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: WV 40279) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-03-10 |