| NPI | 1588233076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 115724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 75342) |
| 367A00000X Advanced Practice Midwife (Licence: NE 120091) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-04-08 |