| NPI | 1558591289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9497219) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL APRN9497219) |
| 367A00000X Advanced Practice Midwife (Licence: TX 824885) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2019-12-10 |