| NPI | 1437172079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 131902) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209-000556) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209-000554) | |
| 367A00000X Advanced Practice Midwife (Licence: MO 131902) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |