| NPI | 1174353536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 150071) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2026-01-26 |