| NPI | 1740990308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT CNM09190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN307577) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-01-22 |