| NPI | 1629320445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: TX 10080038) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-009685) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2022-10-12 |