| NPI | 1174807614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 201471-9) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2022-06-01 |