| NPI | 1790715530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F000829-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN061728) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-02-15 |