| NPI | 1194210674 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AZ AP11685) | 
| Additional Taxonomies | 176B00000X Midwife | 
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA N361052851) | |
| Enumeration Date | 2018-06-26 | 
| Last Update Date | 2024-04-11 |