| NPI | 1205589447 |
|---|---|
| Former Name | KORTNIE LONGTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 478) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MN 478) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-03-31 |