| NPI | 1699858704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209.002348) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 041-189033) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209.002346) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-08-08 |