NPI | 1932126398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 004824) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN567041) |
176B00000X Midwife (Licence: PA MW010105) | |
367A00000X Advanced Practice Midwife (Licence: CT 000323) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2014-06-10 |