| NPI | 1144593484 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NH 052715-23) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA RN265795) | 
| Enumeration Date | 2012-02-16 | 
| Last Update Date | 2021-08-03 |