| NPI | 1790155182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6669-33) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 149014-32) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2025-06-18 |