| NPI | 1821035031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14663) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209-001582) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 200850169np) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 200850169NP) | |
| 367A00000X Advanced Practice Midwife (Licence: OR 200850169NP) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-11-10 |