| NPI | 1689658841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD R021132) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: SD 021) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2016-10-18 |