| NPI | 1154353365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: GA RN120392) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0001078284) |
| 367A00000X Advanced Practice Midwife (Licence: TN 15156) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-06-21 |