| NPI | 1265966634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 22511) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 22511) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2019-09-30 |