| NPI | 1255767653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MO 2013034503) |
| Additional Taxonomies | 176B00000X Midwife (Licence: KS 53-80752-112) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-08-22 |