| NPI | 1790373496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: TX 1012879) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1012879) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |