| NPI | 1700061579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45341) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 53-45341-101) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2011-10-05 |