| NPI | 1104484443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN214715) |
| Additional Taxonomies | 176B00000X Midwife (Licence: GA CNM05484) |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2019-06-20 |