NPI | 1861922205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL MW409) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 14-482) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2017-06-18 |
Last Update Date | 2022-07-21 |