| NPI | 1780932244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209028449) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043-110981) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-10-16 |