| NPI | 1649685611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111659) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NE 120084) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-03-10 |