| NPI | 1497065312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209008339) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209008340) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2021-12-06 |