| NPI | 1699074245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R207227) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R207227) |
| 367A00000X Advanced Practice Midwife (Licence: DC RN1017528) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2024-02-07 |