| NPI | 1104871292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: SD R016975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CM000022) |
| 367A00000X Advanced Practice Midwife (Licence: MN R1436615) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-06-08 |