| NPI | 1598835605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 41156365) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209002091) |
| 367A00000X Advanced Practice Midwife (Licence: WV 075) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |