| NPI | 1659337962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2455-033) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 135374-032) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-09 |