| NPI | 1407936040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 041-263443) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 041-263443) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-07 |