| NPI | 1255192803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL 11030545) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-04-16 |