| NPI | 1194198077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 10183228-4402) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CNM2592) |
| 363L00000X Nurse Practitioner (Licence: KY 3009922) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-02-09 |