| NPI | 1306215876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WV APRN70617MIDWIFE) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN70617-FNP-BC) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-10-15 |