| NPI | 1750788626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VI AP11139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1887862) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |