| NPI | 1376070565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023526) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP023526) |
| 367A00000X Advanced Practice Midwife (Licence: PA MW010462) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2021-05-04 |