| NPI | 1902445679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005940) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 590699) |
| 367A00000X Advanced Practice Midwife (Licence: GA RN298822) | |
| 367A00000X Advanced Practice Midwife (Licence: FL 11005940) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2024-09-04 |