| NPI | 1104081546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 407) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2023-03-27 |