| NPI | 1912935636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R078640) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R078640) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-12-01 |