| NPI | 1710142799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 277000293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.349335) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209007144) | |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2023-09-30 |