| NPI | 1326422726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MD R248578) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA RN2299005) |
| 367A00000X Advanced Practice Midwife (Licence: MD R248578) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-08-12 |