| NPI | 1508410689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 58139) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: NM r65284) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-11-19 |