| NPI | 1740518190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP8927) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ AP8927) |
| 367A00000X Advanced Practice Midwife (Licence: OK 96957) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OK 96957) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2019-12-31 |