| NPI | 1972724821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704194227) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704194227) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704194227) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-12-06 |