NPI | 1417519018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OK 207405) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD CNM-R211050) |
Enumeration Date | 2019-07-03 |
Last Update Date | 2023-04-25 |