| NPI | 1194711069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ aprn11280) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ aprn11280) |
| 367A00000X Advanced Practice Midwife (Licence: AK 676) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-06-17 |