| NPI | 1285917492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024784) |
| Additional Taxonomies | 176B00000X Midwife (Licence: TX 99131) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2022002039) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2022-06-06 |