| NPI | 1710656863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL APRN11010886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010886) |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2024-08-29 |