| NPI | 1801659602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 35428) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 35428) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 35428) | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-28 |