| NPI | 1225714660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 14323-33) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WI 150027-32) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-05-07 |