| NPI | 1699873646 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MT NUR-APRN-LIC-100027) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT RN14659) | 
| Enumeration Date | 2006-09-20 | 
| Last Update Date | 2025-04-09 |