| NPI | 1063482933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R076808-3) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN R076808-3) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |