| NPI | 1871563460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176212) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024176212) |
| 367A00000X Advanced Practice Midwife (Licence: VA 0024176212) | |
| 163W00000X Registered Nurse (Licence: VA 0001279202) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2018-12-21 |