| NPI | 1003324153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP018789) |
| Additional Taxonomies | 176B00000X Midwife (Licence: PA MW010480) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-04-23 |