| NPI | 1245676881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R070103) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R070103) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-01-02 |