| NPI | 1215335922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9358699) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KY 3009098) |
| 367A00000X Advanced Practice Midwife (Licence: FL ARNP9358699) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-11-22 |