| NPI | 1629174511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024123059) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024123059) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-03-27 |