| NPI | 1043090798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 12.012446) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CT 16.000548) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-08-20 |