| NPI | 1508808858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R070172) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R070172) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-13 |