| NPI | 1962920884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 277.002720) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.027217) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-10-14 |