| NPI | 1205379880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MD R226409) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 9166812) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2017-03-24 |