| NPI | 1811372857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 69168) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO APN 0991807-CNM) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-01-05 |