| NPI | 1871073254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 150042) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL APRN11010633) |
| 176B00000X Midwife | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11010633) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-01-10 |