| NPI | 1194344762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC CNM812) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024179146) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2021-12-16 |