| NPI | 1366832677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WV APRN61571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 61571) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN61571FNP-BC) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2021-01-22 |