| NPI | 1467789990 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704216874)  | 
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI 4704216874)  | 
| 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: MI 4704216874)  | |
| Enumeration Date | 2009-11-04 | 
| Last Update Date | 2013-08-03 |