| NPI | 1053650010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 61450) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ID CNM81-A) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2024-09-30 |