| NPI | 1720580848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 58040) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2021-07-23 |