| NPI | 1982160123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12522) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001928) |
| 367A00000X Advanced Practice Midwife (Licence: CT 553) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 346162) | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-06-21 |