| NPI | 1154552198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.007634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041286178) |
| 363L00000X Nurse Practitioner (Licence: IL 209007611) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2020-03-10 |