| NPI | 1053892448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3012613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012613) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-02-03 |