| NPI | 1174293039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3016063) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KY 3016063) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-03-22 |