| NPI | 1811962392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: SC 2133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2133) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-04-28 |