| NPI | 1376912758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.013124) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.396849) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |