| NPI | 1760791230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IA B118673) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G179008) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2024-07-10 |