| NPI | 1306801253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11005950) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 2212) |
| 367A00000X Advanced Practice Midwife (Licence: CT 000237) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-08-22 |