| NPI | 1891880100 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AZ RN057918) | 
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ RN057918) | 
| Enumeration Date | 2006-10-03 | 
| Last Update Date | 2011-08-23 |