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 |