| NPI | 1780199927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024177392) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0024177392) |
| 367A00000X Advanced Practice Midwife (Licence: VA 0024177392) | |
| 367A00000X Advanced Practice Midwife (Licence: CO APN.0997973-CNM) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2024-03-11 |