| NPI | 1013522903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TN 24413) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 24413) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |