| NPI | 1689240954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ID 69016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 69016) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: ID 69016) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: ID 69016) | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-04-25 |