| NPI | 1811309040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904667) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AK 1443) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2021-08-27 |