| NPI | 1295217651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.017971) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: IL 041.402404) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209.017971) | |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2025-01-14 |