| NPI | 1023654845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SD CP003304) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: SD CM000110) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2024-09-21 |