| NPI | 1306229752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KS 53-76862-012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-108024-012) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2020-11-19 |