NPI | 1235952805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT CNM09794) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 104887901) |
Enumeration Date | 2024-11-04 |
Last Update Date | 2024-11-04 |