| NPI | 1528832441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: UT 86918744402) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: UT 86918744405) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |