| NPI | 1093111825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277.002018) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209012138) |
| 367A00000X Advanced Practice Midwife (Licence: IL 277.002018) | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2024-02-01 |