| NPI | 1295875334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AZ LM178) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AZ LM178) |
| 225700000X Massage Therapist (Licence: AZ MT-17615) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-01-08 |