| NPI | 1104062918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN263408) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA RN263408) |
| 367A00000X Advanced Practice Midwife (Licence: NY 001112) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2025-11-04 |