NPI | 1043844087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11006336) |
Additional Taxonomies | 176B00000X Midwife |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN1106336) | |
Enumeration Date | 2020-02-28 |
Last Update Date | 2024-02-21 |