| NPI | 1720564966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ID 58599) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-05-14 |