| NPI | 1770199978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178966) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024178966) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2022-05-31 |