| NPI | 1083649065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R37437) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NM 425) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-05-23 |