| NPI | 1376718627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01356) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 588) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2017-04-14 |