| NPI | 1679521231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 10001) |
| 367A00000X Advanced Practice Midwife (Licence: MT 100001) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-04-16 |