NPI | 1205801529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN1087302) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN1087302) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2021-01-20 |