| NPI | 1376524041 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL ARNP9203770)  | 
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP 9203770)  | 
| Enumeration Date | 2005-11-09 | 
| Last Update Date | 2022-02-08 |