| NPI | 1215676309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 12453) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-01-17 |