| NPI | 1114445095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 66281) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 734) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2024-09-26 |