| NPI | 1760992002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VT 101.0134108) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2022-12-06 |