| NPI | 1639203540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 200650117NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 739989) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-03-19 |