NPI | 1114092079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 076036673N1FNPPP) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 076036673N5NMNP) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2007-07-08 |