| NPI | 1003897166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN-083151) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AZ AP6829) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2016-04-29 |