| NPI | 1366434946 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 1098682) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 1098682) | 
| Enumeration Date | 2005-08-18 | 
| Last Update Date | 2022-04-15 |