| NPI | 1003396672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11004896) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-03-13 |