| NPI | 1801211545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3080) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209010982) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-08-10 |