| NPI | 1972570273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000017890) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TN APN0000017890) |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2019-02-07 |