| NPI | 1104440676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11007273) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL APRN11007273) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-08-04 |