| NPI | 1740511294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02445) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NM 020429R) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2023-08-21 |