| NPI | 1376614883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VT 1010039762) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VT 1010039762) |
| 367A00000X Advanced Practice Midwife (Licence: TX 735012) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-12-07 |