| NPI | 1962570564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NM 673) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 128896) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-07-23 |