| NPI | 1528450889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61041960) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO APN.0993517-CNM) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2021-01-14 |