NPI | 1992474787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704295560) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704295560NSA2310J) |
Enumeration Date | 2021-09-07 |
Last Update Date | 2024-11-05 |