| NPI | 1144201757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1282) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 108463) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2017-02-27 |