| NPI | 1043743966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP017377) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010438) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-02-15 |