| NPI | 1083108815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7204) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MN 366) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-11-08 |