| NPI | 1518979855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 000333) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041299719) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209004736) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2019-09-10 |