| NPI | 1386621019 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN9265982) | 
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9265982) | 
| 367A00000X Advanced Practice Midwife (Licence: VA 0017136835) | |
| Enumeration Date | 2005-12-23 | 
| Last Update Date | 2022-09-06 |