| NPI | 1346795226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA B112613) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2017-01-23 |