| NPI | 1265447940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5167458-4405) |
| Additional Taxonomies | 176B00000X Midwife (Licence: UT 5167458-4402) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-09-05 |