| NPI | 1245443993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024167219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 118658) |
| 367A00000X Advanced Practice Midwife (Licence: NC CNM 076) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-09-11 |