NPI | 1295127470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-016006) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209-016006) |
Enumeration Date | 2015-02-25 |
Last Update Date | 2019-07-24 |