| NPI | 1962496752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: SD CM000046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-116582) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 1040) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP000449 Family) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-03-17 |