| NPI | 1790026722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL CNM1326) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9312678) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL RN 9312678) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2019-06-27 |