| NPI | 1720023542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5010314) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO 17190) |
| 367A00000X Advanced Practice Midwife (Licence: NC 676) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-12-13 |