| NPI | 1679543045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 019083-23-03) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NH 019083-23-01) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |