| NPI | 1356312052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 1338112) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL 1338112) |
| 367A00000X Advanced Practice Midwife (Licence: FL 1338112) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |