| NPI | 1285627646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R26380) |
| 367A00000X Advanced Practice Midwife (Licence: NM 422) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-07-01 |