| NPI | 1528104536 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 122697-032)  | 
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 4774)  | 
| Enumeration Date | 2007-01-29 | 
| Last Update Date | 2014-02-07 |