| NPI | 1942853403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024177774) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024177774) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-07-16 |