| NPI | 1114587391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010528) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP020225) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2020-01-24 |