| NPI | 1083677207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 20109) |
| Additional Taxonomies | 176B00000X Midwife (Licence: SC APRN20109) |
| 176B00000X Midwife (Licence: UT 263988-4402) | |
| 363L00000X Nurse Practitioner (Licence: SC 20109) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: SC 20109) | |
| 367A00000X Advanced Practice Midwife (Licence: NC 516) | |
| 367A00000X Advanced Practice Midwife (Licence: SC 20109) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-03-30 |