| NPI | 1912413428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020240) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-09-18 |