| NPI | 1700873528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350121NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID N32717) |
| 367A00000X Advanced Practice Midwife (Licence: ID N32717) | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2016-06-16 |