| NPI | 1043305022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 082074) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 082074) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-02-07 |