| NPI | 1801873583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 50160321) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NC 9800) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-05-26 |