| NPI | 1063111425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11024912) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL 11024912) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-06-23 |