| NPI | 1295461192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3017472) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3017472) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-03-06 |