| NPI | 1538669932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KS 53-78197-101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019039216) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78341-101) | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2022-02-25 |