| NPI | 1467449876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 113835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 113835) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-12-06 |