| NPI | 1205243144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: WV APRN73786) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WV APRN73786-MIDWIFE) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP013957) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2022-12-08 |