| NPI | 1790461408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ 104956648) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ CNM08658) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |