| NPI | 1790094670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11032026) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL MW159) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2025-11-12 |