NPI | 1992351613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 11028776) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL CNM08865) |
Enumeration Date | 2019-08-18 |
Last Update Date | 2025-09-08 |