| NPI | 1932439205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112220) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A126762) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 112220) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA g170270) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112220) | |
| 367A00000X Advanced Practice Midwife (Licence: NE 120042) | |
| 367A00000X Advanced Practice Midwife (Licence: IA B-126762) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2025-08-26 |