| 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 |