| NPI | 1730175761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 2642414405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 264241-4405) |
| 367A00000X Advanced Practice Midwife (Licence: UT 264241-4402) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-09-24 |