| NPI | 1952079204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: MT NUR-APRN-LIC-178061) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT NUR-APRN-LIC-178061) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |