| NPI | 1689234122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: WV 105979) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VA 0001287206) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: WV 105979) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0001287206) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-02-22 |