| NPI | 1114782182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3011951) |
| Additional Taxonomies | 176B00000X Midwife (Licence: KY CNM04646) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-06-21 |