| NPI | 1326511569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11000696) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11000696) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SC 22441) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-10-08 |