| NPI | 1629546601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AZ 218773) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: AZ 218773) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: AZ 218773) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2019-06-11 |