| NPI | 1467855486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404740) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA RN241876) |
| 367A00000X Advanced Practice Midwife (Licence: NY 001855) | |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2024-03-26 |