| NPI | 1720579287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 148932) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7602-33) |
| 363L00000X Nurse Practitioner (Licence: IL 209.028531) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-03-06 |