| NPI | 1982698247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 868832) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 868832) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2011-11-28 |