| NPI | 1740208156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 44642) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 41-328325) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-09-07 |