| NPI | 1780730119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 091007399) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OR 091007399N1) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-08-16 |