| NPI | 1053509810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704232789) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704232789) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2025-10-14 |