| NPI | 1700091535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209-005195) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP107782) |
| 367A00000X Advanced Practice Midwife (Licence: TX AP107782) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2017-01-23 |