| NPI | 1154840221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 149010) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209.016656) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209.016656) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2021-02-23 |