| NPI | 1386118255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 9415492-4405) |
| Additional Taxonomies | 176B00000X Midwife (Licence: UT 9415492-4402) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2024-01-12 |