| NPI | 1659707289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 414) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 1706) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 1706) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-10-10 |