| NPI | 1215562509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND 202651) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP61045630) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2025-08-22 |