| NPI | 1376204149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ID 72483) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WY 48587) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: ID 72483) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-07-22 |