| NPI | 1952482705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 74350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1020-033) |
| 367A00000X Advanced Practice Midwife (Licence: WI 74350) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-03-07 |