| NPI | 1407622723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA 728829) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NH 116968-23) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2026-05-19 |