| NPI | 1225414394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 2024103336) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 703) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2025-09-16 |