| NPI | 1376746883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 220680-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 2206804405) |
| 367A00000X Advanced Practice Midwife (Licence: UT 2206804402) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2016-02-29 |