| NPI | 1154352235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.006252) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 450804) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.006179) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 450804) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-04-23 |