| NPI | 1073068243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 21372) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: TN 21372) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TN 21372) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TN 21372) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-11-20 |