| NPI | 1235587965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM 0294) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX AP130718) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |