| NPI | 1821854241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11031449) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL 11031449) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-06-05 |