| NPI | 1174806012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CNM0517) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R183645-1) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2012-04-18 |