| NPI | 1164996633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 11000728) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 11000728) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2022-04-15 |