| NPI | 1770626798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3001980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3001980) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-03-01 |