| 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 |