| NPI | 1104378181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R190986) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MD R190986) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2024-01-19 |