| NPI | 1255979795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: FL APRN11017208) |
| Additional Taxonomies | 176B00000X Midwife (Licence: 05175) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2023-01-31 |