| NPI | 1346910957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 11015250) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11015250) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11015250) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-07-20 |