| NPI | 1164483962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R25968) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 462) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-03-17 |