| NPI | 1821466244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP211169) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 121243) |
| 367A00000X Advanced Practice Midwife (Licence: TN 0000020319) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-05-25 |