| NPI | 1851532576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 103207) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 9286660) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2018-11-02 |