| NPI | 1902229115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL 9407308) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL 9407308) |
| 363L00000X Nurse Practitioner (Licence: VA 0024000021) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 9407308) | |
| 163W00000X Registered Nurse (Licence: VA 0001155043) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2024-05-14 |