| NPI | 1962287979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 34224) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 34224) |
| 163W00000X Registered Nurse (Licence: TN 257384) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |