| NPI | 1205310794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 236117) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD CNM04762) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2020-06-19 |