| NPI | 1104159904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 14288) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 13090) |
| 367A00000X Advanced Practice Midwife (Licence: TN APN14288) | |
| 367A00000X Advanced Practice Midwife (Licence: WV APRN90339MIDWIFE) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2022-05-16 |