| NPI | 1497715437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KS 64072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44791) |
| 207V00000X Obstetrics & Gynecology (Licence: KS 44791) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-05-17 |