| NPI | 1902872484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NM 586) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM 586) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 586) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2013-04-10 |