| NPI | 1154738334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 71013627A) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IN 09000285A) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2023-03-29 |