| NPI | 1558782565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP021066) |
| Additional Taxonomies | 176B00000X Midwife (Licence: PA MW010330) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2021-01-26 |