| NPI | 1154636579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MO 2011001942) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2012010344) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209.008269) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2017-02-01 |