| NPI | 1588002091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2017001872) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 75873) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2017-04-27 |