| 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 |