NPI | 1053834622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KS 53-77785-061) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 2018018404) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2024-04-30 |