| NPI | 1487765715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KS 64041) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-06-07 |