| NPI | 1063170215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WV 112089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 75095) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-03-23 |