| NPI | 1003763301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CO APN.1001712-CNM) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CO RN.0125415) |
| Enumeration Date | 2026-03-14 |
| Last Update Date | 2026-03-14 |