| NPI | 1265697023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP028342) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010182) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2024-04-03 |