| NPI | 1326781808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 275656) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-01-28 |