NPI | 1548352479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209-002127) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209002127) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2021-08-09 |