| NPI | 1245225945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 82165) |
| 367A00000X Advanced Practice Midwife (Licence: WI 148785) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2013-10-14 |