| NPI | 1679686034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: UT 5200493-4402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 887) |
| 363L00000X Nurse Practitioner (Licence: UT 5200493-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8128) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-09-18 |