| NPI | 1174893457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024173206) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC CNM0781) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024173206) | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2024-01-15 |