| NPI | 1609835255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MO 117508) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO 117508) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-11-19 |