| NPI | 1912561267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 277002618) |
| Additional Taxonomies | 176B00000X Midwife (Licence: IL 277002618) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002618) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209.019162) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2024-12-07 |