| NPI | 1497928915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NM 83-PA-0132) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NM 90021R) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |