| NPI | 1396350559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NC CNM779) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: SC 24297) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-02-22 |