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 |