| NPI | 1366650277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R25777) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: ND R25777) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-12-04 |