| NPI | 1912128976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD AC000145) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 000 1179335) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-02-22 |