| NPI | 1265856298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9277340) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP9277340) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2020-11-06 |