| NPI | 1295998573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: SD R035640) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-121920) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2009-11-12 |