NPI | 1598292260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WV APRN78272) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN78272NP) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2024-01-15 |