| NPI | 1083189823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209018146) |
| Additional Taxonomies | 176B00000X Midwife (Licence: IL 209018146) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209018146) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-11-12 |