| NPI | 1457473472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2967) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002216) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209002216) | |
| 367A00000X Advanced Practice Midwife (Licence: AZ AP2967) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-08-10 |