| NPI | 1891773941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL 1970182) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 1970182) |
| Enumeration Date | 2006-01-07 |
| Last Update Date | 2022-01-19 |