| NPI | 1619975208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MA 143429) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 143429) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-02-20 |