| NPI | 1407991201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP6806) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ rn088409) |
| 367A00000X Advanced Practice Midwife (Licence: AZ AP6806) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-12-23 |