| NPI | 1770849986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 277.002578) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.027714) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2025-08-28 |