| NPI | 1609957570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R100750) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024167973) |
| 363AM0700X Physician Assistant, Medical (Licence: WA pa10004286) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-01-15 |