| NPI | 1205211570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 8309673-4402) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 8309673-8902) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2021-11-18 |