| NPI | 1417471004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP10427) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ 287404) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2025-10-28 |