| NPI | 1669601225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010300) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP009566) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2019-09-23 |