| NPI | 1386932499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 818) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 5375394031) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KS 5375394031) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2025-10-09 |