NPI | 1326675026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179066) |
Additional Taxonomies | 176B00000X Midwife (Licence: CNM06288) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024179066) | |
367A00000X Advanced Practice Midwife (Licence: FL APRN11022345) | |
367A00000X Advanced Practice Midwife (Licence: CNM06288) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-06-21 |