| NPI | 1104378181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024197363) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024197363) |
| 176B00000X Midwife (Licence: MD R190986) | |
| 363L00000X Nurse Practitioner (Licence: MD R190986) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2026-06-16 |