| NPI | 1699173856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022755) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP60515110) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209022755) | |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2022-05-16 |