| NPI | 1174930994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024092554) |
| Additional Taxonomies | 364SP1700X Clinical Nurse Specialist Perinatal (Licence: VA 0015000310) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |