| NPI | 1982868956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 367022-4405) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 367022-4402) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |