| NPI | 1649943523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11011778) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL 11011778) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11011778) | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-11-02 |