| NPI | 1831127117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 198951) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OR 200450055NP) |
| 367A00000X Advanced Practice Midwife (Licence: OR 200450055NP) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-11-04 |