| NPI | 1164903282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL ARNP9245734) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN9245734) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-02-27 |