| NPI | 1629307194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NM CNP-02963) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NM CNP-02963) |
| 176B00000X Midwife (Licence: NM 02431R) | |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2022-04-15 |