| NPI | 1568246817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024186962) |
| Additional Taxonomies | 176B00000X Midwife |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: VA 0024186962) | |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-09-25 |