| NPI | 1063492452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 000166) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA RN2340005) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-06-01 |