| NPI | 1720242019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VT 101.0070191) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 084057339RN) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2011-11-23 |