| NPI | 1144851502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0017146763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017146763) |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN11021997) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-12-20 |