| NPI | 1316322829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC002073) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 20188) |
| 367A00000X Advanced Practice Midwife (Licence: TX AP126179) | |
| 367A00000X Advanced Practice Midwife (Licence: KY 3010242) | |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2022-07-21 |