| NPI | 1124431366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP8646) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN CNM1998) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2016-09-20 |