| NPI | 1659603579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: UT 9150858-4405) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 9150858-4402) |
| 367A00000X Advanced Practice Midwife (Licence: NM 597) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2023-02-01 |