| NPI | 1679798938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM 63076) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1499) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-07-05 |