| NPI | 1497929723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP 02228) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NM 95286R) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2013-08-06 |