| NPI | 1114059169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL ARNP3211042) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP3211042) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-06-15 |