| NPI | 1366819609 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM0286) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN R2301927) | 
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2015-08-21 | 
| Last Update Date | 2019-07-10 |