| NPI | 1114609773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MN 581) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: WA nonestillastudent) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-11-22 |