| NPI | 1568603371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-140932) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1-140932) |
| 367A00000X Advanced Practice Midwife (Licence: AL 1-140932) | |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2023-06-29 |