| NPI | 1760675391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP01080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R45374) |
| 367A00000X Advanced Practice Midwife (Licence: NM 681) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2017-08-04 |