| NPI | 1649250531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03103ANP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 4497M) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-02-24 |