| NPI | 1144469420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: WI 174-49) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.323963) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209.006349) | |
| 367A00000X Advanced Practice Midwife (Licence: IL 209.006350) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2015-02-11 |