| NPI | 1063080042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 31909) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 31909) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 0) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-10-17 |