| NPI | 1932645256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9125694-4405) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 9125694-4402) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2022-02-17 |