| NPI | 1912935156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN3110692) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP 3110692) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-08-20 |