| NPI | 1316469547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MA CNM03967) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MA 104405265) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |