| NPI | 1427590405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VT 101.0125383) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2020-12-07 |