| NPI | 1730435546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: VA 0001189730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170348) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2013-02-04 |