| NPI | 1164571923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024168815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024168815) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: VA 0024168815) | |
| 367A00000X Advanced Practice Midwife (Licence: MA 225148) | |
| 367A00000X Advanced Practice Midwife (Licence: VA 0024168815) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-04-06 |