| NPI | 1821068669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM 90-PA17) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM 90PA17) |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-07-25 |