NPI | 1558366336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL arpn9214701) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP 9214701) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2018-10-30 |