| NPI | 1578659165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001195218) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024166792) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |