| NPI | 1255730438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA CNM2011) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AK 1465) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-03-22 |