| NPI | 1316041494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R087170) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R087170) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-05-14 |