| NPI | 1568407674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MO 153157) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 64093) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 153157) | |
| 367A00000X Advanced Practice Midwife (Licence: KS 64093) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-07-05 |