| NPI | 1316948615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704162932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704162932) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-03-02 |