| NPI | 1811964901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP001632G) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW008427L) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-05-16 |