| NPI | 1124250014 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP60894990)  | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN 2462054)  | 
| 367A00000X Advanced Practice Midwife (Licence: ID 20339A)  | |
| 367A00000X Advanced Practice Midwife (Licence: ID CNM-55A)  | |
| 367A00000X Advanced Practice Midwife (Licence: OR 201903522NP-PP)  | |
| Enumeration Date | 2009-08-11 | 
| Last Update Date | 2020-10-09 |