| NPI | 1487869707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004083) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NC 157284) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-03-16 |