| NPI | 1932437035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NE 2094) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2013003534) |
| 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01599) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2017-02-17 |