| NPI | 1356918221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F06210094) |
| 367A00000X Advanced Practice Midwife (Licence: TN CNM06765) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-09-13 |