| NPI | 1962535906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 088663) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F088663) |
| 367A00000X Advanced Practice Midwife (Licence: IA B088663) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |