| NPI | 1790229110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11000981) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01295600) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP000625) | |
| 363L00000X Nurse Practitioner (Licence: IL 025256) | |
| 363L00000X Nurse Practitioner (Licence: CT 10548) | |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN11000981) | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2023-05-30 |