| NPI | 1740352525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 201123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201123) |
| 367A00000X Advanced Practice Midwife (Licence: NC 192) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-07-07 |