| NPI | 1164071288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 433) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ CNM05642) |
| 367A00000X Advanced Practice Midwife (Licence: AZ 230927) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-06-19 |