| NPI | 1710061155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024166424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166424) |
| 367A00000X Advanced Practice Midwife (Licence: MD AC001273) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-03-26 |