| NPI | 1891774931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 691-033) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX AP118044) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2015-10-03 |