NPI | 1104891647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 053874-23-03) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NH 053874-23-01) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2007-07-08 |