| NPI | 1003299421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VT 101.0114533) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2020-11-11 |