| NPI | 1922083054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 220189) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NC 220189) |
| 176B00000X Midwife (Licence: FL ARNP9206699) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2019-01-07 |