| NPI | 1669196754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11022413) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11022413) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-01-16 |