| NPI | 1245771997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.015640) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209.015295) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95021507) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-05-09 |