| NPI | 1326032483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0693) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ RN036650-AP8139) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-01-06 |