| NPI | 1124567680 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MA RN2324394)  | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NC 638)  | 
| Enumeration Date | 2017-02-16 | 
| Last Update Date | 2022-01-12 |