| NPI | 1770668808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MA 189114) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 189114) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2013-03-27 |