| NPI | 1619616919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0135474) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VT 101.0135474) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |