| NPI | 1487936415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.009016) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209.009030) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2021-12-29 |