| NPI | 1558474163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 2269658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 071319) |
| 367A00000X Advanced Practice Midwife (Licence: CT 000281) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-01-11 |