| NPI | 1205075538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL ARNP1177422) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP1177422) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2019-09-05 |