| NPI | 1902678204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 179156) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL CNM08826) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |