| NPI | 1760454888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MO 2019038054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 130792) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-04-23 |