| NPI | 1730181652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 176B00000X Midwife (Licence: NC APPLICANTAPPROVAL068) |
| 207Q00000X Family Medicine (Licence: NC 200632) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 200632) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-06-17 |