| NPI | 1396017646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 25784) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MS R887487) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-05-12 |