| NPI | 1649759424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN9479682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9479682) |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2019-12-10 |