| NPI | 1710441225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 9352045) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL APRN9352045) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL 9352045) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2022-10-20 |