| NPI | 1225353097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IA 108870) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 782611) |
| 367A00000X Advanced Practice Midwife (Licence: NE 120080) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-06-14 |