| NPI | 1104108166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN R199603-2) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: SD CM000115) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2025-02-20 |