| NPI | 1629185020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 30769) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: RI CNM00178) |
| 367A00000X Advanced Practice Midwife (Licence: TN 11987) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2026-05-04 |