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 |