| NPI | 1669922886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11437-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R223791) |
| 367A00000X Advanced Practice Midwife (Licence: MD R223791) | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-12-07 |