| NPI | 1649564105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP011330) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010242) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2019-01-21 |