| NPI | 1770648503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 100145) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MT 70659) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-02-13 |