| NPI | 1174136907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CNM08572) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61432695) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2023-08-16 |