| NPI | 1366473746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 5344821) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 64032) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-03-23 |