| NPI | 1962499830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2008004559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK AK 07944-104-02) |
| 367A00000X Advanced Practice Midwife (Licence: AK 07944-104-02) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-02-04 |