| NPI | 1295068617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TX AP131490) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209007660) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209009283) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-01-06 |