| NPI | 1407863103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AL 1022372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-022372) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-08-26 |