| NPI | 1710556501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: PA MW010625) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP023819) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-09-28 |