| NPI | 1548694771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A119626) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD CNM2374) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2020-07-17 |