NPI | 1104288018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.013037) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630979) |
163W00000X Registered Nurse (Licence: IL 041.404896) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.010299) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2023-09-15 |