| NPI | 1548466055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704244262) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704244262) |
| 176B00000X Midwife (Licence: MI 4704244262) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2024-10-08 |