| NPI | 1982168076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2019019255) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MO 2019019255) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-12-10 |