| NPI | 1871512350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R163464) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MD R163464) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-01-19 |