| NPI | 1295864361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 64547) |
| Additional Taxonomies | 175M00000X Midwife, Lay (Licence: NM 00407R) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-12-07 |