| NPI | 1396707360 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 67) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 726) | 
| Enumeration Date | 2006-04-05 | 
| Last Update Date | 2020-02-20 |