| NPI | 1902020852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: NC 138345) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NC 143) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |