NPI | 1730603721 |
---|---|
Former Name | NICOLE OEDEWALDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11002516) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11002516) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2024-01-25 |