NPI | 1073143392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 8646) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CT 462) |
Enumeration Date | 2020-01-26 |
Last Update Date | 2023-11-14 |