| NPI | 1013256734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 0046) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 001528) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2021-10-11 |