| NPI | 1740630706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9332163) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-04-04 |