| NPI | 1386924744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 64907) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 627) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2024-03-04 |