| NPI | 1891295127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN9186675) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL ARNP9186675) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9186675) | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2020-07-31 |