| NPI | 1922063247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 12895) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN RN78573) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 12895) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-03-16 |