| NPI | 1588026009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 1505) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WY 28234-1505) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-08-26 |