| NPI | 1760406839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704205113) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704205113) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-07-10 |