| NPI | 1033216650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 024055675) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2021-10-28 |