| NPI | 1790956357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 096848) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 096848) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |