| NPI | 1619695061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010699) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP026106) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |