| NPI | 1659353365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 2990962) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP2990962) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2021-01-12 |