| NPI | 1689151037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001266487) |
| 163W00000X Registered Nurse (Licence: PA RN709596) | |
| 367A00000X Advanced Practice Midwife (Licence: PA MW010505) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-11-30 |