| NPI | 1144580820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 15969) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 15969) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2015-10-21 |