| NPI | 1679020507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3017988) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| 207V00000X Obstetrics & Gynecology (Licence: TN 26298) | |
| 363L00000X Nurse Practitioner (Licence: TN 26298) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-01-12 |