| NPI | 1770847360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 54538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 571824) |
| 367A00000X Advanced Practice Midwife (Licence: NM 761) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-04-22 |