| NPI | 1699873612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704159448) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MI 4704159448) |
| 363L00000X Nurse Practitioner (Licence: MI 4704159448) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-09-20 |