| NPI | 1235139155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-076701) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AL 1-076701) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2017-01-03 |