| NPI | 1164735056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4110) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 148842) |
| 163W00000X Registered Nurse (Licence: WI 141149) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-03-15 |