| NPI | 1912991118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN048761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010964) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00339000) | |
| 367A00000X Advanced Practice Midwife (Licence: AZ RN048761) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2013-07-10 |