| NPI | 1205032588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 80473) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0017144794) |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN11010885) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-08-29 |