| NPI | 1649351693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 095341) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 64090) |
| 367A00000X Advanced Practice Midwife (Licence: MO 095341) | |
| 367A00000X Advanced Practice Midwife (Licence: NY F001103-1) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-06-03 |