| NPI | 1861261901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.431922) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209.029564) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-04-30 |