| NPI | 1093811556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201687) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 147206) |
| 367A00000X Advanced Practice Midwife (Licence: NC 236) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-03-31 |