| 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 |