| NPI | 1487636197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN1208642) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN1208642) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-11-21 |