| NPI | 1164061156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11005908) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11005908) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2024-01-15 |