| NPI | 1891999124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010158) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA TP002230G) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2021-05-20 |