| NPI | 1245641836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02261) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 682) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-04-12 |