| NPI | 1386353415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: ID 74510) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: ID 74510) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-28 |