| NPI | 1760701122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 114215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 178539) |
| 367A00000X Advanced Practice Midwife (Licence: NE 120066) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2022-12-06 |