| NPI | 1750750097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 104601428) |
| Additional Taxonomies | 174H00000X Health Educator |
| 367A00000X Advanced Practice Midwife (Licence: CT 16.000509) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2022-02-25 |