| NPI | 1750411807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1003363) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD RI68733) |
| 367A00000X Advanced Practice Midwife (Licence: DC RN1003363) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-12-09 |