| NPI | 1114178688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 1433) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: HI 1433) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2019-05-01 |