| NPI | 1538257779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 000390) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CT 000121) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-11-04 |