| NPI | 1396996005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NE 120037) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NE 10) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NE 120037) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2012-07-31 |