| NPI | 1538149190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP1154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R47159) |
| 367A00000X Advanced Practice Midwife (Licence: NM 508) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2017-11-14 |