| NPI | 1851398044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011036528) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 121074) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2018-05-17 |