| NPI | 1144627704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC CNM584) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VA CNM2406) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2016-02-10 |