| NPI | 1669752481 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK 1247)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 1247)  | 
| 163W00000X Registered Nurse (Licence: AK 33265)  | |
| Enumeration Date | 2011-08-24 | 
| Last Update Date | 2016-09-02 |