| NPI | 1497302574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 348721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201908457NP-PP) |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2021-10-20 |