| NPI | 1104420777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM446) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MN 446) |
| 367A00000X Advanced Practice Midwife (Licence: MN 446) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2021-11-16 |