| NPI | 1205346152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN9308597) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9308597) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2020-11-05 |