| NPI | 1740510312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ARNP9191977) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP9191977) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2020-10-05 |