| NPI | 1992034532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209007925) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209008217) |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN11000699) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2021-04-05 |