NPI | 1114280187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.009490) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209.009490) |
Enumeration Date | 2012-06-24 |
Last Update Date | 2023-10-25 |