| NPI | 1124592779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024186534) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 11000991) |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN11000991) | |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-05-10 |