| NPI | 1356376628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010119) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9182579) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-09-08 |