| NPI | 1346613320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA CNM2740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024172936) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2016-07-29 |