| NPI | 1215772926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: VA CNM09417) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 104118811) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-03-02 |