| NPI | 1255956660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0134862) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-02-28 |