| NPI | 1962468462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 135666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 8299) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2022-03-30 |