| NPI | 1316197015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 2408) |
| Additional Taxonomies | 364SP1700X Clinical Nurse Specialist, Perinatal (Licence: GA 002408) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2019-10-24 |