NPI | 1700627585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL APRN11032162) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL CNM09309) |
Enumeration Date | 2024-06-04 |
Last Update Date | 2024-06-04 |