| NPI | 1740007509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL APRN11035469) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11035469) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-03-04 |