| NPI | 1194371955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 230371) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AZ 230371) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2023-09-28 |