| NPI | 1790260644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: RI APRN04139) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 235970) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-10-11 |