| NPI | 1124016449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 0172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1103100) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MN 0172) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 0172) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2023-10-30 |