| NPI | 1508397464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7637-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 7367-33) |
| 367A00000X Advanced Practice Midwife (Licence: WI 148933) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-02-07 |