| NPI | 1932639176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704299949) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MI 4704299949) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209015013) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-04-19 |