NPI | 1235782681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11003398) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024180970) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11003398) | |
367A00000X Advanced Practice Midwife (Licence: VA 0024180970) | |
Enumeration Date | 2019-07-24 |
Last Update Date | 2022-01-20 |