| NPI | 1801277066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024173343) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024173343) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2023-09-12 |