| NPI | 1295838399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 003029) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CT 000268) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003029) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2015-06-16 |