| NPI | 1871674150 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R149132)  | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R149132)  | 
| Enumeration Date | 2006-10-17 | 
| Last Update Date | 2007-07-13 |