NPI | 1740303189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11000323) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL APRN11000323) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2024-04-05 |