| NPI | 1669894119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 63306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100092) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MT 100092) | |
| 367A00000X Advanced Practice Midwife (Licence: MT LIC-NUR-RN 33275) | |
| 367A00000X Advanced Practice Midwife (Licence: SD CM000057) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2023-07-08 |