| NPI | 1346245099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK 286) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: AK 286) |
| Enumeration Date | 2005-06-18 |
| Last Update Date | 2017-03-15 |