| NPI | 1427450352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 13317348-4402) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: SD CM000113) |
| 367A00000X Advanced Practice Midwife (Licence: ID 6561672) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2024-10-30 |