| NPI | 1760620892 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024167746)  | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024167746)  | 
| 367A00000X Advanced Practice Midwife (Licence: DC RN1014557)  | |
| 367A00000X Advanced Practice Midwife (Licence: MD AC000592)  | |
| Enumeration Date | 2009-01-27 | 
| Last Update Date | 2020-10-30 |