| NPI | 1528783552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC LENE-VLHH6) |
| 176B00000X Midwife (Licence: NC 1016) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2026-04-08 |