| NPI | 1922501477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024183694) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2022-04-27 |