| NPI | 1598274052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 21839.1370) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WY 21839.1370) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |