| NPI | 1619926094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: SC 22388) |
| Additional Taxonomies | 176B00000X Midwife |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 22388) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-04-26 |