| NPI | 1033760624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MA RN2281225) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT CNM05705) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2024-10-31 |